Umbhali: Janice Evans
Umhla Wokudalwa: 28 Eyekhala 2021
Hlaziya Umhla: 21 Isilimela 2024
Anonim
Indomethacin Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses
Ividiyo: Indomethacin Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses

Umxholo

Abantu abathatha ii-nonsteroidal anti-inflammatory drug (NSAIDs) (ngaphandle kwe-aspirin) ezinjenge-indomethacin banokuba semngciphekweni omkhulu wokuhlaselwa sisifo sentliziyo okanye ukubethwa ngabantu kunabantu abangathathi la mayeza. Ezi ziganeko zinokwenzeka ngaphandle kwesixwayiso kwaye zingabangela ukufa. Lo mngcipheko unokuphakama kubantu abathatha ii-NSAID ixesha elide. Musa ukuthatha i-NSAID efana ne-indomethacin ukuba usandula ukuba nesifo sentliziyo, ngaphandle kokuba uyalelwe ngugqirha. Xelela ugqirha wakho ukuba wena okanye omnye umntu kusapho lwakho ukhe unesifo sentliziyo, isifo sentliziyo, okanye ukubethwa sistroke, ukuba uyatshaya, nokuba unayo okanye wakha wanayo i-cholesterol ephezulu, uxinzelelo lwegazi oluphezulu, okanye isifo seswekile. Fumana uncedo lonyango olungxamisekileyo kwangoko ukuba unazo naziphi na kwezi mpawu zilandelayo: iintlungu esifubeni, ukuphefumla kancinci, ukuba buthathaka kwelinye icala okanye icala lomzimba, okanye intetho egoso.

Ukuba uya kuba nomthambo we-coronary bypass graft (CABG; uhlobo lotyando lwentliziyo), akufuneki uthathe i-indomethacin kanye phambi okanye emva kotyando.


Ii-NSAID ezinje nge-indomethacin zinokubangela izilonda, ukopha, okanye imingxunya esiswini okanye emathunjini. Ezi ngxaki zinokuvela nanini na ngexesha lonyango, zinokwenzeka ngaphandle kweempawu zesilumkiso, kwaye zinokubangela ukufa. Umngcipheko unokuphakama kubantu abathatha ii-NSAID ixesha elide, bakhulile ngeminyaka, banempilo enkenenkene, okanye basele izixa ezikhulu zotywala ngelixa uthatha indomethacin. Xelela ugqirha wakho ukuba uthatha nawaphi na amayeza alandelayo: ii-anticoagulants ('blood thinner') ezinjenge-warfarin (Coumadin, Jantoven); iasprini; ezinye ii-NSAID ezinje nge-diflunisal (Dolobid), ibuprofen (Advil, Motrin) kunye ne-naproxen (Aleve, Naprosyn); i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (iMedrol), kunye ne-prednisone (iRayos); i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo njenge-citalopram (Celexa), i-fluoxetine (i-Prozac, i-Sarafem, i-Selfemra, kwi-Symbyax), i-fluvoxamine (i-Luvox), i-paroxetine (i-Brisdelle, i-Paxil, i-Pexeva) kunye ne-sertraline (i-Zoloft); okanye i-serotonin norepinephrine reuptake inhibitors (i-SNRIs) efana ne-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), kunye ne-venlafaxine (Effexor XR). Xelela ugqirha wakho ukuba ukhe wakha waba nezilonda okanye ukopha esiswini okanye emathunjini okanye ezinye iingxaki zokopha. Ukuba unazo naziphi na kwezi mpawu zilandelayo, yeka ukuthatha indomethacin kwaye ubize ugqirha wakho: iintlungu zesisu, isilungulela, ukugabha okunegazi okanye okujongeka njengendawo yekofu, igazi elisesitofini, okanye isitulo esimnyama nesokulinda.


Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kujonga iimpawu zakho ngononophelo kwaye mhlawumbi uya kuyala iimvavanyo ezithile ukujonga impendulo yomzimba wakho kwi-indomethacin. Qiniseka ukuba uxelela ugqirha wakho indlela oziva ngayo ukuze ugqirha wakho akhuphe inani elifanelekileyo lamayeza ukunyanga imeko yakho ngomngcipheko ophantsi weziphumo ebezingalindelekanga.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-indomethacin kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.

I-Indomethacin isetyenziselwa ukunciphisa iintlungu ezibukhali, ukuthamba, ukudumba, kunye nokuqina okubangelwa yi-osteoarthritis (isifo samathambo esibangelwa kukuwohloka kwethambo lamalungu), isifo samathambo (isifo samathambo esibangelwa kukudumba kwethambo lamalungu), kunye ne-ankylosing i-spondylitis (i-arthritis echaphazela kakhulu umqolo). I-Indomethacin ikwasetyenziselwa ukunyanga iintlungu egxalabeni elibangelwa yi-bursitis (ukudumba kwengxowa egcwele ulwelo kumdibaniso wamagxa) kunye ne-tendinitis (ukudumba kwethishu edibanisa umsipha nethambo). I-Indomethacin-release-release capsules, suspension (liquid) kunye ne-suppositories zikwasetyenziselwa ukunyanga i-gouty arthritis (ukuhlaselwa kwentlungu kunye nokudumba okubangelwa kukwakhiwa kwezinto ezithile kumalungu). I-Indomethacin ikudidi lwamayeza abizwa ngokuba zii-NSAID. Isebenza ngokumisa imveliso yomzimba yento ebangela iintlungu, umkhuhlane kunye nokudumba.


I-Indomethacin iza njengecapsule, ukukhutshwa okwandisiweyo (ukusebenza ixesha elide), kunye nokumiswa okwenziwe ngomlomo kunye nokugcinwa okusetyenziselwa ukuphinda kusetyenziswe. Njengezingxobo ze-Indomethacin kunye nolwelo zihlala zithathwa amaxesha amabini okanye amane ngosuku. Suppositories Indomethacin zidla ngokusetyenziswa izihlandlo ezibini ukuya kwezine yonke imihla. Iifomsile zokukhululwa ezandisiweyo zihlala zithathwa kanye okanye kabini ngemini. Iifomulethi ze-Indomethacin, iicapsule ezandisiweyo, kunye nokumiswa kufuneka kuthathwe kunye nokutya, kwangoko emva kwesidlo, okanye ii-antacids. Thatha indomethacin kumaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha indomethacin ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ginya zonke iipilisi ezikhutshiweyo; ungahluleli, ungahlaleli, okanye uzityumze.

Hlanganisa ukunqunyanyiswa kakuhle phambi kokusetyenziswa kokuxuba amayeza ngokulinganayo.

Ugqirha wakho unokutshintsha idosi yonyango ngexesha lonyango lwakho. Ngamanye amaxesha, ugqirha wakho unokukuqala ngedosi esezantsi ye-indomethacin kwaye ngokuthe ngcembe wandise idosi yakho, hayi rhoqo rhoqo kube kanye ngeveki. Ngamanye amaxesha ugqirha wakho angakuqala kwi-avareji yedosi ye-indomethacin kwaye unciphise idosi yakho xa zilawulwa iimpawu zakho. Landela le miyalelo ngononophelo kwaye ubuze ugqirha wakho okanye usokhemesti ukuba unayo nayiphi na imibuzo.

Sebenzisa i-indomethacin suppositories, landela la manyathelo:

  1. Susa isongelo.
  2. Dipha incam ye-suppository emanzini.
  3. Lala ngecala lakho lasekhohlo kwaye uphakamise idolo lasekunene esifubeni sakho. (Umntu wasekhohlo kufuneka alale kwicala lasekunene kwaye aphakamise idolo lasekhohlo.)
  4. Usebenzisa umnwe wakho, faka i-suppository malunga ne-intshi enye (2.5 cm) kwi-rectum. Yibambe endaweni okwexeshana.
  5. Yima emva kwemizuzu eli-15. Hlamba izandla zakho kakuhle kwaye uphinde wenze imisebenzi yakho yesiqhelo.
  6. Kuya kufuneka uzame ukugcina i-suppository kwindawo kwaye uphephe ukuhamba kwamathumbu kwiyure e-1 emva kokufaka i-suppository.

I-Indomethacin ngamanye amaxesha isetyenziselwa ukunciphisa umkhuhlane, iintlungu, kunye nokudumba okubangelwa ziintlobo ezininzi zeemeko okanye ukonzakala, ukunciphisa inani lecalcium egazini, nokunyanga uhlobo oluthile lwexinzelelo lwegazi. Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza kwimeko yakho.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe indomethacin,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-indomethacin, i-aspirin okanye ezinye ii-NSAID ezinje nge-ibuprofen (Advil, Motrin) kunye ne naproxen (Aleve, Naprosyn), nawaphi na amanye amayeza, okanye naziphi na izithako ezingasebenziyo kwiifomule ze-indomethacin, ukumiswa, ukukhutshwa okude njengezingxobo, okanye suppositories. Buza usokhemesti wakho uluhlu lwezinto ezingasebenziyo.
  • xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nayo nayiphi na kwezi zinto zilandelayo: kwiZestoretic), moexipril (Univasc, in Uniretic), perindopril (Aceon, Prestalia), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), kunye netrandolapril (Mavik, eTarka); ii-angiotensin receptor blockers ezinje ngecandesartan (Atacand, eAtacand HCT), eprosartan (Teveten), irbesartan (Avapro, eAvalide), losartan (Cozaar. telmisartan (Micardis, eMicardis HCT, eTwynsta), kunye ne-valsartan (eDiovan HCT, e-Exforge); ii-beta blockers ezinje nge-atenolol (Tenormin, kwi-Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, eDutoprol), nadolol (Corgard, eCorzide), kunye nepropranolol (Hemangeol, Inderal, Innopran); icyclosporine (Gengraf, Neoral, Sandimmune); idigoxin (Lanoxin); i-diuretics ('iipilisi zamanzi') ezinjenge-triamterene (Dyrenium, kwiDyazide); lithium (Lithobid); imethotrexate (Otrexup, Rasuvo, Trexall); phenytoin (iDilantin, iPhenytek); kunye ne-probenecid (i-Probalan, kwi-Col-Probenecid). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • xelela ugqirha wakho ukuba ubukhe wanesifo sombefu, ingakumbi ukuba uhlala uhlohla okanye uqukuqela impumlo okanye iipolyps zempumlo (ukudumba kwenwebu yempumlo); ukumelwa yintliziyo; ukuxhuzula; Isifo sikaParkinson; ukudakumba okanye ukugula ngengqondo; okanye isibindi okanye isifo sezintso. Ukuba uza kusebenzisa i-indomethacin suppositories, xelela ugqirha wakho ukuba ukhe wanayo okanye wakha wanayo iproctitis (ukudumba kwethanga) okanye ukhe wanayo okanye usandula ukuphuma egazini.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa; okanye ukuncancisa. I-Indomethacin inokwenzakalisa umntwana ongekazalwa kwaye ibangele iingxaki ngokuhanjiswa ukuba kuthathwe malunga neeveki ezingama-20 okanye kamva xa ukhulelwe. Musa ukuthatha indomethacin ngeenxa zonke okanye emva kweeveki ezingama-20 ukhulelwe, ngaphandle kokuba uxelelwe ngugqirha ukuba wenze njalo. Ukuba ukhulelwa ngelixa uthatha indomethacin, tsalela ugqirha wakho.
  • thetha nogqirha wakho malunga nemingcipheko kunye nezibonelelo zokuthatha i-indomethacin ukuba uneminyaka engama-65 ubudala okanye ngaphezulu. Abantu abadala abadala akufuneki bathathe i-indomethacin kuba ayikhuselekanga njengamanye amayeza anokusetyenziswa ukunyanga imeko efanayo.
  • ukuba uyenziwa utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha indomethacin.
  • Kuya kufuneka uyazi ukuba eli yeza linokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
  • thetha nogqirha wakho malunga nokusetyenziswa kotywala okukhuselekileyo ngexesha lonyango lwakho nge-indomethacin. Utywala bunokuzenza iziphumo ezibi kakhulu ze-indomethacin.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-Indomethacin inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

  • intloko ebuhlungu
  • isiyezi
  • ukugabha
  • urhudo
  • ukuqhina
  • ukucaphuka kwe-rectum
  • ukuziva uhleli kwesidingo sokukhupha isisu
  • kukhala ezindlebeni

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo okanye ezo zikhankanyiweyo kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko. Musa ukuthatha enye indomethacin de uthethe nogqirha wakho.

  • ukuzuza ubunzima obungachazwanga
  • ukuphefumla kancinci okanye ukuphefumla nzima
  • ukudumba esiswini, emaqatheni, ezinyaweni, okanye emilenzeni
  • ifiva
  • amadyungudyungu
  • irhashalala
  • ukurhawuzelela
  • urhwebo
  • ukudumba kwamehlo, ubuso, ulwimi, imilebe, umqala, okanye izandla
  • ubunzima bokuphefumla okanye ukugwinya
  • ukudinwa
  • ulusu oluthuthu
  • ukubetha kwentliziyo ngokukhawuleza
  • ukudinwa kakhulu
  • ukopha okungaqhelekanga okanye ukugruzuka
  • ukunqongophala kwamandla
  • isicaphucaphu
  • Ukuphelelwa ngumdla wokutya
  • iintlungu kwinxalenye ephezulu yesisu
  • Iimpawu ezinjengomkhuhlane
  • mthubi ulusu okanye amehlo
  • kunamafu, kucace umbala, okanye umchamo onegazi
  • umqolo obuhlungu
  • ukuchama kunzima okanye kubuhlungu
  • ukungaboni kakuhle okanye ezinye iingxaki ngokubona

I-Indomethacin inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

  • isicaphucaphu
  • ukugabha
  • intloko ebuhlungu
  • isiyezi
  • ukudideka
  • ukudinwa kakhulu
  • ukuziva ubundindisholo, ukuhlaba, ukutshisa, okanye ukunyuka esikhumbeni
  • ukuxhuzula

Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha indomethacin.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

  • Indocin®
  • Ndiyabulela®
Ukuhlaziywa kokugqibela-03/15/2021

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